JACOB DANIEL ACTON — NPI 1710600457 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1710600457

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

106S00000X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Technician

Box 32 Service Location & ZIP+4

8230 LEESBURG PIKE STE 740, VIENNA, VA, 22182-2641

✓ 9-Digit EDI 837 ZIP+4 (22182-2641)

Practice Phone & Referral Fax

(877) 504-4141

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710600457 (JACOB DANIEL ACTON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710600457` (NPI-1 Individual Practitioner)
Provider / Legal Name	JACOB DANIEL ACTON
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Technician NUCC Code: `106S00000X` (Behavior Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8230 LEESBURG PIKE STE 740, VIENNA, VA, 22182-2641
Practice Telephone / Fax	Tel: (877) 504-4141
Administrative Mailing Address	867 DEKALB AVE APT 5B, BROOKLYN, NY, 11221-6249
Enumeration & Last Sync	Enumerated: 2022-09-19 \| CMS Record Updated: 2025-10-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8230 LEESBURG PIKE STE 740, VIENNA, VA, 22182-2641

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Plain-English Taxonomy & CMS Crosswalk (106S00000X)

What Does Taxonomy Code 106S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 106S00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Technician"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JACOB DANIEL ACTON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: NY \| License: `N10537` \| Primary: Secondary
`106S00000X` — Behavior Technician Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JACOB DANIEL ACTON (NPI #1710600457)